FREDRICK J BRADSHAW MD & JOYCE J BRADSHAW MD INC (NPI# 1497193270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497193270 |
| Entity Type | Organization |
| Organization Name | FREDRICK J BRADSHAW MD & JOYCE J BRADSHAW MD INC |
| Practice Address |
1401 River Rd Greenwood MS 38930-4030 |
| Practice Telephone | 6016360097 |
| Practice Fax Number | 6016299969 |
| Mailing Telephone | 6016360097 |
| Mailing Fax Number | 6016299969 |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |
| Authorized Official Name | JOYCE BRADSHAW (PRES) |
| Authorized Official Telephone | 6016360097 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
09744 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
1401 RIVER RD |
| City | GREENWOOD |
| State | MS |
| Zip Code | 38930-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518948264 | Greenwood Anesthesia & Pain Mgmt, Pllc | Anesthesiology | 1401 River Rd, Anesthesia Department, Greenwood, MS 38930-4030 | 2005-11-09 |
| 1760024442 | Paula Perryman Mcdowell | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2019-10-14 |
| 1154973345 | Angela Seto Hudson | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930 | 2019-07-09 |
| 1245892777 | Carol Clark Moses | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2019-07-04 |
| 1003477449 | Kara Austin | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2019-06-26 |
| 1902362734 | Tammie Marshell Brown | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2019-02-18 |
| 1023591559 | William Jesse Hodnett IIi | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2018-09-11 |
| 1184129306 | Tammarin S Collins | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2018-03-28 |
| 1467976548 | Michele Latonya Brooks | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2017-07-31 |
| 1386185197 | Alliance Healthcare Services Inc | Clinic/Center | 1401 River Rd, Greenwood, MS 38930-4030 | 2017-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447871579 | Stewart Health Care Training Academy | Home Health Aide | 522 West Park Avenue Suite S, Greenwood, MS 38930 | 2020-04-29 |
| 1801386487 | Sunflower-humphreys Counties Progress, Inc. | Case Management | 414 Martin Luther King Dr, Indianola, MS 38930 | 2018-05-18 |
| 1053826610 | Sarah Malone | Counselor | 2504 Browing Road, Greenwood, MS 38930 | 2017-12-05 |
| 1780109850 | Jasmine Turner Edwards | Pharmacist | 2202 Us 82 W Frontage Rd, Greenwood, MS 38930 | 2017-08-09 |
| 1861916199 | Maurice Wright | Social Worker | 522 West Park Avenue, Suite Q-r, Greenwood, MS 38930 | 2017-07-28 |
| 1215464607 | Catherine Johnson | Counselor | 522 West Park Avenue, Greenwood, MS 38930 | 2017-05-16 |
| 1598205262 | Vignesh Kannan | Internal Medicine | Greenwood Leflore Hospital, 1401 River Rd, Greenwood, MS 38930 | 2017-03-01 |
| 1952847691 | Mischa Mccray | Counselor | 804 E Park Ave, Greenwood, MS 38930 | 2017-01-18 |
| 1760933147 | Ginger Caldero | Social Worker | 522 West Park Ave, Greenwood, MS 38930 | 2016-10-20 |
| 1942750617 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1401 River Rd Rm 534, Greenwood, MS 38930 | 2016-10-06 |
| Find all providers in zip 38930 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639172091 | Patricia Kotylo | Pathology | 411 S Oakwood Dr, Greenwood, IN 46142-2047 | 2005-05-31 |
| 1073661344 | Joyce Bradshaw | Pathology | 1401 River Rd, Greenwood, MS 38930-4030 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356497416 | Jerry Pascall Moore | Pathology | 146 Road 83, Tupelo, MS 38801-6971 | 2007-01-25 |
| 1477601177 | Forrest County General Hospital | Pathology | 300 S 29th Ave, Hattiesburg, MS 39401-7127 | 2007-01-08 |
| 1417027376 | Brad Elliot Wheeler | Pathology | 300 Fisher Street, Biloxi, MS 39534 | 2006-11-08 |
| 1003904012 | Susan Strong Cannon | Pathology | 15 Summer Trace Blvd, Laurel, MS 39440-2510 | 2006-10-11 |
| 1386738920 | Celeste Lois Cook-glenn | Pathology | 413 Audubon Ct, Madison, MS 39110-6910 | 2006-10-03 |
| 1497849533 | Midsouth Pathology Associates | Pathology | 105 Lower Woodville Rd, Natchez, MS 39120 | 2006-10-03 |
| 1780787143 | Lisa Chandler | Pathology | 1207 Office Park Dr., Suite A, Oxford, MS 38655 | 2006-09-07 |
| 1215049929 | Clay Broders Calcote | Pathology | 1500 E Woodrow Wilson Dr, Jackson, MS 39216-5116 | 2006-08-31 |
| 1548206501 | James W Lewis | Pathology | 123 Main St N, Amory, MS 38821-3416 | 2006-06-20 |
| 1174565469 | Vettaikorumakankav V Vedanarayanan | Pathology | 401 Baptist Dr Ste 301, Madison, MS 39110-2012 | 2006-06-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FREDRICK J BRADSHAW MD & JOYCE J BRADSHAW MD INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.